ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?
Correct Answer: A
Rationale: Discarding the needle in a puncture-proof container prevents needlestick injuries. Placing on the table (
B) recapping (
C) or removing the needle (
D) risks injury or contamination.
Question 2 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Contracting pelvic muscles strengthens the pelvic floor improving bladder control. Holding breath (
A) worsens incontinence 2 weeks (
C) is unrealistic and tightening buttocks (
D) interferes with pelvic isolation.
Question 3 of 5
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining vital signs first assesses for fluid overload complications like pulmonary edema. Documentation (
A) incident reports (
B) and reporting (
D) follow after ensuring client safety.
Question 4 of 5
A nurse is caring for a client who is postoperative and asks the nurse "When will I get to go home? I'm not sure what happens next." Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Informing the provider facilitates communication and addresses the client’s need for information. Assuring provider availability (
A) dismisses concerns praising the provider (
B) avoids the issue and stating discharge readiness (
D) disempowers the client.
Question 5 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The Braden scale measures six elements (sensory perception moisture activity mobility nutrition friction/shear). Elements range 1-4 (
A) age isn’t included (
C) and higher scores indicate lower risk (
D).